Maternal distress and intended breastfeeding duration

Rondó, Patrícia H C; Souza, M R S E L

doi:10.1080/01674820600999811

Cited by 12 publications

(8 citation statements)

References 38 publications

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“…Likewise, the proposition that reduced maternal selfconfidence and self-esteem is sometimes in the path between SPVP and EBF seems quite tenable. This hypothesis is strengthened by connecting previous findings pointing out that low confidence and feelings of worthlessness are consistent with the long-term psychological consequences of SPVP victimization (38,39) , and with other studies indicating that the psychosocial wellbeing of women during pregnancy is an important protective factor for early weaning (5,(40)(41)(42)(43)(44)(45)(46)(47) . The importance of maternal self-esteem as a mediator of the relationship between SPVP and EBF is also reasonable when comparing the gradual effects of introducing the dimensions in the multivariate model.…”

Section: Discussionsupporting

confidence: 84%

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Severe physical violence between intimate partners during pregnancy: a risk factor for early cessation of exclusive breast-feeding

Moraes

Oliveira

Reichenheim

et al. 2011

Public Health Nutr.

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Objective: To investigate the role of severe physical violence during pregnancy (SPVP) between intimate partners in early cessation of exclusive breast-feeding (EBF). Design: A health services survey. The revised Conflict Tactics Scale was used to characterize SPVP; premature breast-feeding cessation was identified using a current status data approach, which was based on the information reported from food recall during the preceding 7 d. The cumulative hazard function was estimated by complementary log-log transformation models, which allowed the ensuing estimation of early breast-feeding cessation rates in different age groups and the ratio of rates of weaning between women exposed and not exposed to violence. Setting: Five large public primary health-care facilities of Rio de Janeiro, Brazil. Subjects: The sample comprised 811 randomly selected mothers of children under 5 months of age who were waiting to be consulted. Results: SPVP is an independent risk factor of cessation of EBF since, after controlling for socio-economic, demographic, reproductive and lifestyle variables, women exposed to violence presented an incidence density that was 31 % higher than those who were not exposed (hazard ratio 5 1?30, 95 % CI 1?01, 1?69). Conclusions: The findings corroborate the hypothesis that SPVP is an important risk factor for EBF. This indicates the need for incentives to adequately train healthcare personnel in dealing with lactating women in order to gain a broader view of breast-feeding beyond the biological aspects of lactation, including the maternal psychological dimension.

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Section: Discussionsupporting

confidence: 84%

“…They are unable to perform routine activities of daily living, much less care for the newborn. Thus, it seems unlikely that a mother who lives under conditions of severe violence would find the right environment and, given her own priorities, perhaps the willingness to perform such a demanding task as breast-feeding ( 8 , 34 – 35 ) .…”

Section: Discussionmentioning

confidence: 99%

Severe physical violence between intimate partners during pregnancy: a risk factor for early cessation of exclusive breast-feeding

Moraes

Oliveira

Reichenheim

et al. 2011

Public Health Nutr.

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“…The possible mechanisms by which maternal stress and distress affect child nutritional status include a less healthy lifestyle, poor psychosocial stimulation of the child and reduced care-seeking for herself and for the child. Patel et al 41 found that depressed mothers in Goa were more likely to have difficulties with breastfeeding or to cease breastfeeding early, and Rondó et al 42 found that distressed women had less intention to breastfeed their children than not distressed women. When weaning, women with stress and distress may be less successful in preparing foods.…”

Section: Discussionmentioning

confidence: 99%

Maternal stress and distress and child nutritional status

et al. 2013

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“…Women with chronic infectious diseases, metabolic diseases, cardiopathy, mental diseases, hypertension/pre-eclampsia/eclampsia, vaginal bleeding and multiple deliveries were excluded from the study. Details of the cohort have been published previously (Rondó et al 2003; Rondó & Souza, 2007). …”

Section: Methodsmentioning

confidence: 99%

Mental disorders in pregnancy and 5–8 years after delivery

et al. 2016

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Background.Even though mental disorders represent a major public health problem for women and respective children, there remains a lack of epidemiological longitudinal studies to assess the psychological status of women throughout pregnancy and later in life. This epidemiological cohort study assessed the relationship between mental disorders of 409 Brazilian women in pregnancy and 5–8 years after delivery.Methods.The women were followed from 1997 to 2000 at 17 health services, and subsequently from 2004 to 2006 at their homes. Mental disorders were investigated by the Perceived Stress Scale-PSS, General Health Questionnaire-GHQ and State-Trait Anxiety Inventories-STAI. The relationship between scores of the PSS, GHQ and STAI 5–8 years after delivery and in pregnancy was assessed by multivariate linear regression analysis, controlling for the following confounders: maternal age, education, per capita income, family size, work, marital status and body mass index.Results.Scores of the PSS, GHQ and STAI 5–8 years after delivery were positively associated with scores of the PSS, GHQ and STAI in the three trimesters of pregnancy, and inversely associated with maternal age and per capita income (adj. R2 varied from 0.15 to 0.37). PSS, GHQ and STAI scores in the 3rd trimester of pregnancy were positively associated with scores of the PSS, GHQ and STAI in the 1st and 2nd trimesters of pregnancy (adj. R2 varied from 0.31 to 0.65).Conclusions.The results of this study reinforce the urgency to integrate mental health screening into routine primary care for pregnant and postpartum women.

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Maternal distress and intended breastfeeding duration

Abstract: Early identification of distress in pregnant women and a more attentive encouragement to breastfeed is probably one of the steps to improve intended breastfeeding duration.

Cited by 12 publications

References 38 publications

Severe physical violence between intimate partners during pregnancy: a risk factor for early cessation of exclusive breast-feeding

Severe physical violence between intimate partners during pregnancy: a risk factor for early cessation of exclusive breast-feeding

Maternal stress and distress and child nutritional status

Mental disorders in pregnancy and 5–8 years after delivery

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